# BENCHMARK PHYSICAL THERAPY OF OREGON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952751364
- **Authorized official:** KEVIN JOHANNESON (VP REVENUE CYCLE)
- **Authorized official phone:** (423) 238-8923

## Contact information

- **Practice address:** 365 WESTFIELD ST STE B, SILVERTON, OR 97381-1936
- **Practice address phone:** (503) 873-6111
- **Practice address fax:** (503) 873-6113
- **Mailing address:** 6397 LEE HWY, STE 300, OOLTEWAH, TN 37421-2564
- **Mailing address phone:** (423) 238-8923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 06/16/2016
- **Last updated:** 06/26/2017